Afilliated to the International Karate Kyokushinkaikan
Associated Member IKK Honbu UK

APPLICATION FORM

*YOUR FULL NAME & DATE OF BIRTH*YOUR FULL ADDRESS, PHONE NUMBER AND POST OR ZIP CODE*YOUR GRADE, RANK AND POSITION IN ORGANISATION*YOUR LOCATION*YOUR EMAIL ADDRESSYOUR WEBSITE ADDRESS*YOUR DOJO'S NAME(S)*NUMBER OF DOJOSLIST YOUR DOJOS NAME AND CITYS IN FULL*LIST NAME GRADES OF BLACK BELTS IN YOUR ORGANISATION (list N/A if none)*DO YOU TEACH THE DOJO KUNYESNO*DO YOU USE A KYOKUSHINKAI SYLLABUSYESNO*LIST THE ORGANISATIONS SYLLABUS*WHAT MEMBERSHIP WOULD YOU LIKEUK ONLY (DO YOU HOLD A CRB)UK ONLY (DO YOU HOLD INSTRUCTORS INSURANCEUK ONLY (UK DOJO'S MUST USE STUDENTS UNION INSURANCE ARE YOU WILLING TO USE!YESNO (Membership will not be refused)PLEASE LIST ANY OTHER INFOMATION TO HELP WITH YOUR APPLICATION & MEMBER TO E MAIL YOUR DAN GRADE CERTIFICATE AND UPLOAD A PHOTO TO THE WEBSITE